# SUNSOUTH ST. JUDE HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548037807
- **Authorized official:** CARLOS ARIAS (CEO)
- **Authorized official phone:** (352) 277-5305

## Contact information

- **Practice address:** 8374 PINES BLVD, PEMBROKE PINES, FL 33024-6616
- **Practice address phone:** (954) 429-6986
- **Practice address fax:** (954) 429-6987
- **Mailing address:** 14690 SPRING HILL DR, SPRING HILL, FL 34609-8102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/07/2023
- **Last updated:** 12/12/2023
